Mallory Marie Gonyer, MA, LPC, LBA, BCBA is a
Behavior Analyst based in Boerne, Texas. Mallory Marie Gonyer is licensed to practice in Texas (license number 1-15-18128) and her current practice location is
28286 Boerne Stage Rd. #3, Boerne, Texas. She can be reached at her office (for appointments etc.) via phone at
(830) 816-5510.
NPI number for Mallory Marie Gonyer is 1790181477 and her current mailing address is 28286 Boerne Stage Rd. #3, Boerne, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790181477.
Healthcare Provider's Profile
Full Name | Mallory Marie Gonyer |
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Gender | Female |
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Speciality | Behavior Analyst |
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Location | 28286 Boerne Stage Rd. #3, Boerne, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790181477
- Provider Enumeration Date: 11/07/2014
- Last Update Date: 10/18/2023
Medical Identifiers
Medical identifiers for Mallory Marie Gonyer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790181477 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 71038 (Texas) | Secondary |
101YP2500X | Counselor - Professional | 71038 (Texas) | Secondary |
103K00000X | Behavior Analyst | 1-15-18128 (* (Not Available)) | Secondary |
103K00000X | Behavior Analyst | 1-15-18128 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mallory Marie Gonyer is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mallory Marie Gonyer, MA, LPC, LBA, BCBA 28286 Boerne Stage Rd. #3, Boerne, TX 78006 Ph: (830) 816-5510 | Mallory Marie Gonyer, MA, LPC, LBA, BCBA 28286 Boerne Stage Rd. #3, Boerne, TX 78006 Ph: (830) 816-5510 |
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